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Rare vascular malformations are discovered infrequently in donor lungs before implantation into recipients. However, the proper handling of such malformations can influence ischemic time, implantation strategies, and subsequent patient outcomes.

We report a simplified method for addressing the technical challenges of anomalous pulmonary venous return in a donor lung before implantation.

We demonstrate that anatomic resection is a safe and efficient method for managing this rare congenital vascular malformation.